$352.88
69610 covers tympanic membrane repair such as patching. Use 69620 for surgical myringoplasty, based on the method and extent documented in the operative report.
On this page
CMS RVU26D · Effective 2026-10-01
69620 Myringoplasty Medicare reimbursement rates in Tennessee
Myringoplasty repairs a tympanic membrane perforation when the operation is limited to closing the eardrum rather than reconstructing middle-ear structures. Compare 69620 office and facility rates across CMS payment localities in Tennessee.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 69620 in Tennessee?
Tennessee has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$680.78
1 of 1 localities have a supported rate.
Payment area: Tennessee
One mapped payment locality.
Facility setting
$417.85
1 of 1 localities have a supported rate.
Payment area: Tennessee
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Otolaryngology surgery
About 69620: Surgical tympanic membrane repair
Myringoplasty repairs a tympanic membrane perforation when the operation is limited to closing the eardrum rather than reconstructing middle-ear structures.
An otolaryngologist performs myringoplasty to close a persistent perforation in the tympanic membrane, often after infection, trauma, or prior ear surgery. The repair may use a graft and may be approached through the ear canal or through an incision near the ear. It is generally performed in an operating room or ambulatory surgery setting. The defining feature is repair confined to the eardrum, rather than tympanoplasty involving middle-ear reconstruction.
Report 69620 when the operative record supports a surgical repair of the tympanic membrane perforation and does not describe a more extensive middle-ear reconstruction. Document the perforation, repair method, and structures treated. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and others at 50%. For bilateral surgery reported with modifier 50, payment is 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 69620
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.88 · 26%
- Practice expense (office) RVU15.44 · 70%
- Malpractice RVU0.87 · 4%
695
Medicare services in 2024 · #3270 by national volume
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
69620 compared with similar codes
Office rates for Tennessee, from the same CMS release.
No office rate
69631 is for tympanoplasty without ossicular chain reconstruction and includes middle-ear surgery. 69620 is limited to repair of the tympanic membrane.
No office rate
69632 includes tympanoplasty with ossicular chain reconstruction. Choose 69620 when the procedure is confined to closing the tympanic membrane perforation.
Compare 69620 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Tennessee →
Office / nonfacility
$680.78
Facility
$417.85
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 69620 in Tennessee.
PPRRVU2026_Oct_nonQPP.csv
7,624
- Code
- 69620
- Physician work
- 5.88
- Practice expense
- 15.44
- Malpractice
- 0.87
GPCI2026.csv
95
- Locality
- Tennessee
- Physician work
- 1.000
- Practice expense
- 0.909
- Malpractice
- 0.537
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.88 | × 1.000 | 5.8800 |
| Practice expense | 15.44 | × 0.909 | 14.0350 |
| Malpractice | 0.87 | × 0.537 | 0.4672 |
| Total RVUs | 20.3821 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Tennessee$680.78
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.88 | 1 |
| Practice expense | 15.44 | 0.909 |
| Malpractice | 0.87 | 0.537 |
(5.88 × 1 + 15.44 × 0.909 + 0.87 × 0.537) × $33.4009 = $680.78
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.88 | 1 |
| Practice expense | 6.78 | 0.909 |
| Malpractice | 0.87 | 0.537 |
(5.88 × 1 + 6.78 × 0.909 + 0.87 × 0.537) × $33.4009 = $417.85
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
69620 billing questions
How is 69620 different from 69610?
69620 describes surgical myringoplasty to close a tympanic membrane perforation. 69610 is used for tympanic membrane repair such as a patch procedure; select based on the service actually performed and documented.
When should a tympanoplasty code be considered instead?
Consider 69631 or a related tympanoplasty code when the operation extends beyond the eardrum into middle-ear surgery or reconstruction. The operative report should identify the structures treated and any reconstruction performed.
How is bilateral myringoplasty reported?
CMS recognizes modifier 50 for bilateral reporting and pays the procedure at 150%. Document the repair performed on each ear.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be billed?
CMS restricts assistant-at-surgery payment for this code. Co-surgeon and team-surgery billing are not permitted.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
7,62169603,,Revj mstdc rsltg rad mstdc,A,,13.85,19.32,NA,19.32,,2.02,35.19,35.19,0,090,0.07,0.79,0.14,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,62269604,,Revj mstdc rsltg tympanplsty,A,,13.85,13.66,NA,13.66,,2.02,29.53,29.53,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,62369610,,Tympanic membrane repair,A,,4.36,6.46,,2.49,,0.62,11.44,7.47,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,62469620,,Myringoplasty,A,,5.88,15.44,,6.78,,0.87,22.19,13.53,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,62569631,,Repair eardrum structures,A,,9.80,12.69,NA,12.69,,1.44,23.93,23.93,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,62669632,,Rebuild eardrum structures,A,,12.64,14.47,NA,14.47,,1.91,29.02,29.02,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,62769633,,Rebuild eardrum structures,A,,12.00,14.38,NA,14.38,,1.86,28.24,28.24,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780